EP1863384A2 - Surgical navigation with overlay on anatomical images - Google Patents

Surgical navigation with overlay on anatomical images

Info

Publication number
EP1863384A2
EP1863384A2 EP05803625A EP05803625A EP1863384A2 EP 1863384 A2 EP1863384 A2 EP 1863384A2 EP 05803625 A EP05803625 A EP 05803625A EP 05803625 A EP05803625 A EP 05803625A EP 1863384 A2 EP1863384 A2 EP 1863384A2
Authority
EP
European Patent Office
Prior art keywords
imaging
system
medical device
display
operating region
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP05803625A
Other languages
German (de)
French (fr)
Other versions
EP1863384A4 (en
Inventor
Raju R. Viswanathan
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Stereotaxis Inc
Original Assignee
Stereotaxis Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to US10/962,174 priority Critical patent/US7831294B2/en
Application filed by Stereotaxis Inc filed Critical Stereotaxis Inc
Priority to PCT/US2005/036362 priority patent/WO2006042198A2/en
Publication of EP1863384A2 publication Critical patent/EP1863384A2/en
Publication of EP1863384A4 publication Critical patent/EP1863384A4/en
Application status is Withdrawn legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Detecting, measuring or recording for diagnostic purposes; Identification of persons
    • A61B5/06Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A61B5/061Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/062Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using magnetic field
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/12Devices for detecting or locating foreign bodies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/46Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with special arrangements for interfacing with the operator or the patient
    • A61B6/461Displaying means of special interest
    • A61B6/463Displaying means of special interest characterised by displaying multiple images or images and diagnostic data on one display
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/54Control of devices for radiation diagnosis
    • A61B6/547Control of devices for radiation diagnosis involving tracking of position of the device or parts of the device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00694Aspects not otherwise provided for with means correcting for movement of or for synchronisation with the body
    • A61B2017/00703Aspects not otherwise provided for with means correcting for movement of or for synchronisation with the body correcting for movement of heart, e.g. ECG-triggered
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101Computer-aided simulation of surgical operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101Computer-aided simulation of surgical operations
    • A61B2034/105Modelling of the patient, e.g. for ligaments or bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107Visualisation of planned trajectories or target regions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2051Electromagnetic tracking systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/363Use of fiducial points
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/364Correlation of different images or relation of image positions in respect to the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/364Correlation of different images or relation of image positions in respect to the body
    • A61B2090/365Correlation of different images or relation of image positions in respect to the body augmented reality, i.e. correlating a live optical image with another image
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/376Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25User interfaces for surgical systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
    • A61B6/44Constructional features of the device for radiation diagnosis
    • A61B6/4429Constructional features of the device for radiation diagnosis related to the mounting of source units and detector units
    • A61B6/4435Constructional features of the device for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being coupled by a rigid structure
    • A61B6/4441Constructional features of the device for radiation diagnosis related to the mounting of source units and detector units the source unit and the detector unit being coupled by a rigid structure the rigid structure being a C-arm or U-arm

Abstract

A system and method are provided for control of a navigation system for deploying a medical device within a subject, and for enhancement of a display image of anatomical features for viewing the projected location and movement of medical devices, and projected locations of a variety of anatomical features and other spatial markers in the operating region. The display of the X-ray imaging system information is augmented in a manner such that a physician can more easily become oriented in three dimensions with the use of a single-plane X-ray display. The projection of points and geometrical shapes within the subject body onto a known imaging plane can be obtained using associated imaging parameters and projective geometry.

Description

SURGICAL NAVIGATION WITH OVERLAY ON ANATOMICAL

IMAGES

FIELD OF THE INVENTION

[0001] This invention relates to a system and methods for interventional medicine, and more specifically to computer assisted navigation and imaging of medical devices within a subject body.

BACKGROUND OF THE INVENTION

[0002] Interventional medicine is the collection of medical procedures in which access to the site of treatment is made through one of the subject's blood vessels, body cavities or lumens. For example, angioplasty of a coronary artery is most often performed using a catheter which enters the patient's arterial system through a puncture of the femoral artery in the groin area. Other interventional medical procedures include the assessment and treatment of tissues on the inner surface of the heart (endocardial surfaces) accessed via peripheral veins or arteries, treatment of vascular defects such as cerebral aneurysms, removal of embolic clots and debris from vessels, treatment of tumors via vascular access, endoscopy of the intestinal tract, etc.

[0003] Interventional medicine technologies have been applied to manipulation of instruments which contact tissues during surgical procedures, making these procedures more precise, repeatable and less dependent of the device manipulation skills of the physician. Some presently available interventional medical systems for directing the distal tip of a medical device from the proximal end of the medical device use computer- assisted navigation and a display means for providing a visual display of the medical device along with anatomical images obtained from a separate imaging apparatus. Such systems can provide a visual display of blood vessels and tissues, obtained from a Fluoroscopy (X-ray) imaging system for example, and can display a projection of the medical device being navigated to a target destination using a computer that controls the orientation of the distal tip of the medical device.

[0004] In some cases, it may be difficult for a physician to become oriented in a three dimensional setting using a display of a single-plane X-ray image projection. Enhancement or augmentation of the single-plane X-ray image may be required to aid the physician in visualizing the orientation of the medical device and blood vessels. A method is therefore desired for enhancing a display image of the anatomical surfaces and the orientation of a medical device in real time to improve navigation through the blood vessels and tissues.

SUMMARY OF THE INVENTION

[0005] According to the principles of the present invention, a system and method are provided for control of a navigation system for deploying a medical device within a subject, and for enhancement of a display image of anatomical features for viewing the current location and orientation of a medical device moving through the subject body. The display of the X-ray imaging system information is augmented in a manner such that a physician can more easily become oriented in three dimensions with the use of a single-plane X-ray display. A typical X-ray imaging system comprises a source for emitting a beam through a three dimensional space and onto a plane, where a point within a subject body in the three dimensional space is projected onto the plane. The projection of a point within the subject body onto the imaging plane can be obtained using an orthographic projection matrix derived from the point-to-image plane distance and the source-to-image plane distance. Thus, a point location within the subject body having known coordinates, properly registered to the frame of reference of the X-ray system, can be projected onto the X-ray image plane of the live X-ray image in the same manner.

[0006] In accordance with one aspect of the invention, a method of projection can be used to graphically overlay a representation of the actual medical device location and orientation onto the X-ray image. One or more desired target points within the subject can also be projected onto the X-ray image, as well as one or more reference markers on the subject to track patient movement. A graphical representation of a virtual medical device can be overlaid to show a visual reference of a predicted new location and orientation of the actual medical device that corresponds to a desired navigational configuration. A mathematical model of the medical device can be used to define the configuration of the virtual medical device, which can model the behavior of the device corresponding to a change in navigation control variables to predict deflection and rotation of the medical device. A desired direction for steering the medical device within the plane of the X-ray image can be graphically represented, and surface shapes within the subject may also be rendered and graphically represented on the X-ray image display. All the graphically overlaid information is also updated in real time as the X-ray imaging system is rotated or moved, to augment the image display and enhance visualization of the orientation of a medical device in a three dimensional space using a single-plane X-ray image displayed on the control system.

[0007] It is thus an object of the invention to provide a system and method for augmenting the displayed anatomical image of a subject with graphically overlaid objects to provide enhanced visualization of medical devices, anatomical locations, shapes, markers, and other objects and annotations in a three dimensional space for aiding in the orientation and navigation of the medical device through the subject body.

[0008] It is a further object of the invention to provide a system and method for enabling virtual representation of the medical device, for providing a visual reference of a predicted orientation and location of the medical device corresponding to a desired configuration or movement to a desired target.

BRIEF DESCRIPTION OF THE DRAWINGS

[0009] Fig. 1 is a schematic diagram of an automated system for navigating a medical device through the lumens and cavities in the operating regions in a patient in accordance with the principles of this invention;

[0010] Fig. 2 is an illustration of the projection geometry for projecting a location point onto an imaging plane in accordance with the principles of the present invention;

[0011] Fig. 3 is an illustration of an anatomical image display comprising images of the actual medical device, graphically overlaid images of a virtual medical device configuration and a series of target locations according to the principles of the present invention;

[0012] Fig. 4A is a schematic diagram of a navigation system and imaging system combination, in which the navigation system determines the where objects in the operating region should appear based upon information from the imaging system;

[0013] Fig. 4B is a schematic diagram of a navigation system and imaging system combination, in which the imaging system determines where objects in the operating region should appear based upon position information from the navigation system;

[0014] Fig. 5 is a view of the screen of a magnetic navigation system, with imported images from an imaging system in accordance with the principles of this invention;

[0015] Fig. 6A is an x-ray image of an anatomic model of a human heart along an axis 26° on the LAO side, showing objects overlaid on the image in accordance with the principles of operation;

[0016] Fig. 6B is an x-ray image of the anatomic model of the human heart along an axis 26° on the RAO side;

[0017] Fig. 7A is an x-ray image of an anatomic model of a human heart along an axis 25° on the LAO side, showing objects overlaid on the image in accordance with the principles of operation;

[0018] Fig. 7B is an x-ray image of the anatomic model of the human heart along an axis 27° on the RAO side;

[0019] Fig. 8A is an x-ray image of an anatomic model of a human heart along an axis 25° on the LAO side, showing objects overlaid on the image in accordance with the principles of operation;

[0020] Fig. 8B is an x-ray image of the anatomic model of the human heart along an axis 8° on the RAO side;

[0021] Fig. 8C is an x-ray image of the anatomic model of the human heart along an axis 27° on the RAO side;

[0022] Fig. 9A is an x-ray image of an anatomic model of a human heart along an axis 25° on the LAO side, showing objects overlaid on the image in accordance with the principles of operation;

[0023] Fig. 9B is an x-ray image of an anatomic model of a human heart along an axis 16° on the LAO side;

[0024] Fig. 9C is an x-ray image of an anatomic model of a human heart along an axis 6° on the LAO side; [0025] Fig. 9D is an x-ray image of an anatomic model of a human heart along an axis 17° on the RAO side;

[0026] Fig. 9E is an x-ray image of an anatomic model of a human heart along an axis 27° on the RAO side.

DETAILED DESCRIPTION OF THE INVENTION

[0027] An automated system for navigating a medical device through the lumens and cavities in an operating region in a patient in accordance with the principles of this invention is indicated generally as 20 in Fig. 1. The system 20 comprises an elongate medical device 22, having a proximal end and a distal end adapted to be introduced into the operating region in a subject. The system 20 also comprises an imaging system 30 for displaying an image of the operating region on a display 32, including a representation of the distal end of the medical device 22 in the operating region.

[0028] The system also includes a navigation system for manipulating the distal end of the medical device 22. In this preferred embodiment the navigating system is a magnetic navigation system 50. Of course, the navigation system could alternatively be a piezoelectric or electrostrictive system or a mechanical control system with pull wires or servo motors, or other suitable system for orienting the distal tip of the medical device. The magnetic navigation system 50 orients the distal end of the medical device 22 in a selected direction through the interaction of magnetic fields associated with the medical device 22 inside the operating region and at least one external source magnet outside the subject's body. The catheter may then be advanced in the selected direction, to reach the target destination through the successive reorientation stepwise process and advancement.

[0029] A preferred embodiment of the present invention describes a method for a navigation system associated with an elongate flexible catheter or medical device and an X-ray imaging system, for providing a suitable projection of a graphic overlay of the medical device and target locations within the subject body. The control or actuation means used to steer or navigate the medical device with a computer controlled navigation system may be any of a variety of method known to those skilled in the art, such as mechanical, magnetic, electrostrictive, hydraulic, or others. One preferred embodiment is one where an externally applied magnetic field is used to steer the device, while device advancement and retraction is mechanically driven. Such a navigation system is typically used in conjunction with an X-ray system such as a Fluoroscopy Imaging system, with a mutually known registration between the systems. Other anatomical features such as curves, ridge lines, ablation lines, surface portions, landmark locations, marker locations as reference, and so on, possibly including data from preoperative or intraoperative three dimensional images, can be overlaid on the live X-ray display. Past device configurations can also be displayed as a reference so that any changes in configuration such as patient shift can be monitored during the course of the procedure.

[0030] Likewise reconstructed features such as blood vessels reconstructed from contrast agent injection and subsequent imaging and image processing, or other path reconstructions as defined by a user to produce a three dimensional path could be overlaid on the live X-ray display.

[0031] A typical X-ray imaging system comprises a source for emitting a beam through a three dimensional space and onto an imaging plane, where a point within a subject body in the three dimensional space is projected onto the plane. In a preferred embodiment, the X-ray imaging system is preferably a Fluoroscopy imaging system capable of providing images on at least two separate planes, which together can provide the three dimensional coordinates for a location displayed in the two separate planes. Fig. 2 shows a geometric illustration of an X-ray source point of origin 60 for emitting a beam towards the subject and the imaging plane 62. The projection of Jc , a point 64 in a three dimensional space, onto the imaging plane 62 as a perspective projection xp , can be obtained using an orthographic projection matrix.

The orthographic projection matrix can be derived from h the point-to-image plane distance 72, and d the source-to-image plane distance 70, or distance to the center xc of the plane 62. A vector q from a point in space x to the center of the plane xc may be defined as q = (x - xc) :. The source-to-image distance 70 is defined as d . The orthographic projection of q onto the imaging plane 72 is:

y - \I - nnT jq or

y = Aq = A{x - xc) where nnτ is the 3 x 3 outer product constructed from the normal ή to the X-ray image plane, / is the 3 x 3 identity matrix, and (/ - nnτ ) is the orthographic projection matrix. From Fig. 2, it can be seen that:

- χc\ y\ where h = (q - n) (1)

(d - h) '

Since {xP - xc ) - xP - xc , (2)

Equation (1) may be rewritten as:

{d - h) {d - n - {x - xc ))

Equation (3) above defines the perspective projection xp of point x onto the imaging plane, so xp may be rewritten in the form:

Xp = xc + \ (d. - n - - [ /x- - x -c \)s) A{xp - χc ) (4)

[0032] For any given point x in a three dimensional space, a corresponding perspective projection point xp on the X-ray image plane can be determined using equation (4) above. Thus, for any point location within the imaging volume, a corresponding graphic overlay object may be suitably projected onto the X-ray image display. Such graphic overlay objects that may be suitably projected onto a display as illustrated in Fig. 3 may include objects such as the actual medical device 100 and target locations 102, 104, 106 and 108 within the operating region of the subject. Other objects that can be usefully overlaid on the live X-ray display include anatomical features such as curves, ridge lines, ablation lines, surface portions, landmark locations, marker locations used as reference, and so on, possibly including data from preoperative or intraoperative three dimensional images. Likewise, previously marked or identified device configurations can also be displayed as a reference so that any changes in configuration due to factors such as patient shift can be monitored during the course of the procedure. Additionally, reconstructed features such as blood vessels reconstructed from contrast agent injection and subsequent imaging and image processing, or other path reconstructions as defined by a user to produce a three dimensional path, or a variety of path-like or other features extracted from three dimensional image data could be overlaid on the live X-ray display.

[0033] As the Fluoroscopic imaging system is moved or rotated about the subject, the graphically overlaid objects may be continuously updated and displayed along with the continuously updated X-ray images to provide projection images in real time to improve visualization of the orientation of the medical device and target locations.

[0034] Other graphic overlay objects that can be suitably projected onto the display may include one or more reference markers 110 on the subject body to provide a reference for the movement of the medical device 100. In the preferred embodiment, the medical device 100 is preferably deployed from the distal end of a relatively stiff sheath inserted within the subject body. The distal end of such a sheath functions as a base for the distal end of a medical devicelOO deployed therefrom. One efficient method to mark the pivot or base of the medical device as a reference marker 110 is to position the tip of the medical device 110 at the intended base, for example at the distal tip of a sheath, and then record the current location of the tip as a reference marker, as illustrated in Fig. 3 at 110. Reference markers could also be used to indicate target locations for the tip of the medical device to access, and text or other graphic annotations could be used to distinguish and identify various locations. A pre-operative anatomical three-dimensional data set, of an endocardial surface for example, could also be graphically rendered and projected onto the display at 118, after a suitable registration of the coordinates to the frame of reference of the X-ray is performed. Likewise, an intra-operative three-dimensional data set could also be graphically rendered and projected onto the image display.

[0035] In the preferred embodiment where a magnetic navigation system is employed for controlling the orientation of the distal tip of the medical device, a graphic annotation of the current magnetic field direction 116 could be projected onto the live Fluoroscopy Image display as a steering reference. Where a localization system for determining the position of the medical device in a frame of reference translatable to the displayed image of the Fluoroscopy system is also included, a graphical rendition of portions of the medical device as determined from the localization information obtained from the localization system can be overlaid on the X-ray image display. Rates of change of control variables such as the magnetic field, or the rate of movement of the medical device may also be determined and displayed on the X-ray image display.

[0036] A graphical representation of a virtual medical device 112 can be overlaid to show a visual reference the medical device 100 being rotated or moved before initiating actual movement of the medical device. A mathematical model of the medical device can be used to define the configuration of the virtual medical device 112, which can model the behavior of the device relative to a desired navigation rotation to predict movement of the medical device 110. Thus, a desired rotation or re-orientation of the tip of the medical device 110 may be evaluated through a visual representation of a virtual medical device 112 in advance of re- orientation of the actual medical device 110. The model of the virtual medical device 112 can account for the deflective behavior of the medical device 110 relative to changes in navigation control variables such as the applied magnetic field direction, and can provide a representation of the resulting changes in configuration of the device. A graphic indication 114 of a direction for steering the medical device within the plane of the X-ray image may also be graphically overlaid onto the display for coordination with a joystick that is mapped to the X-ray plane. Likewise, a desired target such as location point 102 may be entered, and the model of the virtual medical device 112 configuration can be used to determine the appropriate change in navigation control variables to steer the tip of the medical device to the desired target destination 102.

[0037] The imaging display of the present invention may be further augmented by the use of gated location data, for example where the gating is performed with respect to ECG (electro cardiograph) data, so that the device location is always measured at the same phase of a periodic cycle of anatomical motion such as the cardiac cycle. In a preferred embodiment, this data is input into the navigation system together with the real-time location data in a manner such that the location data may be projected onto the X-ray image display.

[0038] It should be noted that the overlay of the medical device and various objects could be controlled by a user input from an input device such as a joystick, mouse, or hand-held localized stylus, or it could automatically be controlled by a computer. Alternatively, a joystick could also be used to control the direction or steering of the medical device within the subject body. Additional design considerations such as the above modifications may be incorporated without departing from the spirit and scope of the invention. More particularly, the system and method may be adapted to medical device guidance and actuation systems other than magnetic navigation systems, including electrostrictive, mechanical, hydraulic, or other actuation technologies. Likewise, a variety of medical devices such as catheters, cannulas, guidewires, microcatheters, endoscopes and others known to those skilled in the art can be remotely guided according to the principles taught herein. Accordingly, it is not intended that the invention be limited by the particular form described above, but by the appended claims.

Operation

[0039] In operation, the imaging system of the various embodiments of the present invention display an image of an operating region together with an overlay of representations of various objects in the operating region to facilitate the user's orientation within the image. For example these objects can include points that the user has identified or marked, or which have been identified or marked for the user. The objects can alternatively or additionally include shapes, for example closed loops identifying openings in the operating region. The objects can also be reconstructions of medical devices in the operating region, based upon mathematical models of the devices or position information from a localization system. The positions and shapes of the representations automatically change as the imaging plane changes when the imaging beam and imaging plate move about the operating region. Thus the user does not lose the points of reference and landmarks that he or she may have been using prior to the reorientation of the imaging system. This reorientation can occur frequently during medical procedures as the imaging system is moved to accommodate other equipment in the procedure room (e.g. a magnetic navigation system), or when the user desires a different imaging angle to better observe the procedure.

[0040] In one embodiment the imaging system consists of an imaging beam source, an imaging plate, an imaging processor, for processing the imaging data collected by the imaging plate, and a display for displaying the image from the processed imaging data. This imaging system can be used in conjunction with another system, such as a navigation system for orienting the a medical device in the operating region in the subject, or a medical localization system for determining the location of a medical device in the operating region in the subject. Whether using the navigation system or the localization system, the user can generally identify points of interest, for example anatomical land marks or points of physiological interest. Representations of these points can be displayed on the image of the operating region from the imaging system, to help the user visualize the operating region and the procedure. However, in addition to overlaying the representation on a static image from the imaging system, the overlay can be dynamically adjusted as the imaging plane changes so that the objects not only remain on the display, but the remain in the correct position and orientation relative to the displayed image and the displayed image changes.

[0041] The method can be implemented in several ways as illustrated by Figs. 4A and 4B. In one embodiment, shown schematically in Fig. 4A, the navigation or localization system receives information about the location of the imaging beam source and the imaging receiver, and uses this information to determine where objects of known locations in the operating region should appear on the image generated by the imaging system. More specifically, the imaging system 100 can provide the navigation system (or localization system) 102 with information about the position/orientation of the imaging beam source 104 and the imaging receiver 106. (This is represented by arrow 108). Using this information the navigation system (or localization system) 104 can determine where an object of known position in the operating region should appear in an image generated by the imaging system. This information can be communicated back to the imaging system 100 so that the selected objects can be overlaid in the proper location and orientation on the image generated by the imaging system, and displayed on the display 110. (This is represented by arrow 112)

[0042] As the imaging beam source 104 and imaging receiver 106 move, the information provided by the imaging system to the navigation system (or the localization system), and the resulting information provided by the navigation system (or the localization system) to the imaging system is updated. (This is represented by arrow 114). So that representations of the selected objects can be overlaid on the images from the imaging system are updated as the imaging system moves about the operating region.

[0043] As shown in Fig. 4B, the navigation system (or the localization system) 102 can provide the imaging system with the positions of objects in the operating region. The imaging system 100 can use this information to determine where the objects should appear in an image generated by the imaging system, using the known position of the imaging beam source 104 and imaging receiver 106, and then overlay representations of the objects on the image generated by the imaging system on the display 110.

[0044] As the positions of the imaging beam source and imaging receiver change, the imaging system can redetermine where the objects should appear in an image generated by the system in the new configuration, and overlay the representations of the object on the image generated by the imaging system, so that the representations of the objects are updated as the imaging system moves about the operating region.

[0045] An example of a display from a graphical user interface from a magnetic navigation system is shown in Fig. 5. The interface in Fig. 5 allows the user to import images from an x-ray imaging system, and display them in windows in the display. The magnetic navigation system allows the user to identify points in the operating region and show these points on an overlay on the image from the imaging system. The overlay becomes "persistent" such that as the imaging system is moved about the operating region, and another image is made of the operating region, the overlay is adjusted in position and/or orientation so that it correctly shows the points on the new image. This is illustrated in Fig. 5 in which two images from the operating region in different directions are depicted in side by side panes on the interface, and the overlaid objects are properly positioned and oriented in each,

[0046] Fig. 6A shows an x-ray image of an anatomical model of a human heart taken in a direction 26° to the left anterior side. An object, and more specifically a representation of a ring 200 constructed from a plurality of points 202 is overlaid on the x-ray image. Fig. 6B shows an x-ray image of the anatomical model taken in a direction 26° to the right anterior side (i.e., rotated 52° from Fig. 6A). The representation of the ring 200 and constituent points 202 in Fig. 6B have been rotated from Fig. 6A in accordance with the principles of this invention, to remain in the proper orientation with respect to the image in the new imaging direction.

[0047] Fig. 7 A shows an x-ray image of an anatomical model of a human heart taken in a direction 25° to the left anterior side. Objects, and more specifically a plurality of annotations including an "E" 204, an "F" 206, and a "G" 208 are overlaid on the x-ray image. Fig. 7B shows an x-ray image of the anatomical model taken in a direction 27° to the right anterior side (i.e., rotated 52° from Fig. 7A). The representation of the annotations "E" 204, "F" 206, and "G" 208 in Fig. 7B have been rotated from Fig. 7A in accordance with the principles of this invention, to remain in the proper orientation with respect to the image in the new imaging direction.

[0048] Fig. 8A shows an x-ray image of an anatomical model of a human heart taken in a direction 25° to the left anterior side. An object, and more specifically a catheter 210 is overlaid on the x-ray image. The representation of catheter 210 can be generated from localization data of one or more points on the corresponding real catheter in the operating region. Alternatively, the representation of the catheter 210 can be generated from a mathematical model of the actual catheter in the operating region (for example using the control variable from the navigation system).

[0049] Fig. 8B shows an x-ray image of the anatomical model taken in a direction 8° to the right anterior side (i.e., rotated 33° from Fig. 8A). The representation of the catheter 210 in Fig. 8B has been rotated from Fig. 8A in accordance with the principles of this invention, to remain in the proper orientation with respect to the image in the new imaging direction. Fig. 8C shows an x-ray image of the anatomical model taken in a direction 27° to the right anterior side (i.e., rotated 19° from Fig. 8B). The representation of the catheter 210 in Fig. 8C has been rotated from Fig. 8B in accordance with the principles of this invention, to remain in the proper orientation with respect to the image in the new imaging direction.

[0050] Fig. 9A shows an x-ray image of an anatomical model of a human heart taken in a direction 25° to the left anterior side. Objects, and more specifically representations of points 212, 214, and 216 in the operating region are overlaid on the x-ray image. Fig. 9B shows an x-ray image of the anatomical model taken in a direction 16° to the right anterior side (i.e., rotated 9° from Fig. 9A). The representation of the points 212, 214 and 216 in Fig. 8B have been rotated from Fig. 9A in accordance with the principles of this invention, to remain in the proper orientation with respect to the image in the new imaging direction. Fig. 9C shows an x-ray image of the anatomical model taken in a direction 6° to the left anterior side (i.e., rotated 3° from Fig. 9B). The representation of the points 212, 214, and 216 in Fig. 9C has been rotated from Fig. 9B in accordance with the principles of this invention, to remain in the proper orientation with respect to the image in the new imaging direction. Fig. 9D shows an x-ray image of the anatomical model taken in a direction 17° to the right anterior side (i.e., rotated 23° from Fig. 9C). The representation of the points 212, 214, and 216 in Fig. 9D has been rotated from Fig. 9C in accordance with the principles of this invention, to remain in the proper orientation with respect to the image in the new imaging direction. Fig. 9E shows an x-ray image of the anatomical model taken in a direction 27° to the right anterior side (i.e., rotated 10° from Fig. 9D). The representation of the points 212, 214, and 216 in Fig. 9E has been rotated from Fig. 9D in accordance with the principles of this invention, to remain in the proper orientation with respect to the image in the new imaging direction.

Claims

What is claimed is:
1. A medical imaging system for imaging an operating region in a subject, the system comprising an imaging beam source, an imaging plate, and a display for displaying an image generated by the imaging beam on the imaging plate together with an overlay of at least one object in the operating region, the overlay generated from the position of the object, the position of the imaging beam source, and the position and orientation of the imaging plate.
2. The medical imaging system according to claim 1 wherein the object is at least one point in the operating region.
3. The medical imaging system according to claim 1 wherein the object is a loop comprising a plurality of points in the operating region.
4. The medical imaging system according to claim 1 wherein the object is a medical device in the operating region.
5. The medical imaging system according to claim 1 wherein the position of the medical device in the operating region is determined by a localization system.
6. The medical imaging system according to claim 1 wherein the position of the medical device is calculated using a mathematical model of the medical device.
7. The medical imaging system according to claim 1 wherein the imaging beam source and the imaging plate are movable about the operating region, and wherein the display updates both the displayed image and the overlay as the positions of the imaging beam and imaging plane change.
8. A method of providing medical images of an operating region in a subject's body, the method comprising: generating an image of the operating region using an imaging beam source and an imaging plate; and displaying the generated image together with an overlay of at least one object in the operating region, the overlay generated from the position of the object, the position of the imaging beam source, and the position and orientation of the imaging plate.
9. The medical imaging system according to claim 8 wherein the object is at least one point in the operating region.
10. The medical imaging system according to claim 8 wherein the object is a loop comprising a plurality of points in the operating region.
11. The medical imaging system according to claim 8 wherein the object is a medical device in the operating region.
12. The medical imaging system according to claim 8 wherein the position of the medical device in the operating region is determined by a localization system.
13. The medical imaging system according to claim 8 wherein the position of the medical device is calculated using a mathematical model of the medical device.
14. The method according to claim 8 wherein the imaging beam source and the imaging plate are movable about the operating region, and further comprising updating the both the displayed image and the overlay as the positions of the imaging beam and imaging plane change.
15. A medical imaging and display system for displaying medical images of an operating region in a subject, the system comprising: a localization system for determining the location of an object in the operating region; an imaging system having an imaging beam source, an imaging plate, and a display for displaying an image of the operating region generated by the imaging beam source and the imaging plate; together with an overlay of at least one object in the operating region, the overlay generated from the position of the object, the position of the imaging beam source, and the position and orientation of the imaging plate.
16. The medical imaging and display system according to claim 15 wherein the imaging system communicates the position of the imaging beam source and the imaging plate to the localization system, and the localization system calculates the position of the object on the display.
17. The medical imaging and display system according to claim 15 wherein the localization system communicates the position of the object in the operating region to the imaging system, and the imaging system calculates the position of the object on the display.
18. The medical imaging system according to claim 15 wherein the object is at least one point in the operating region.
19. The medical imaging system according to claim 15 wherein the object is a loop comprising a plurality of points in the operating region.
20. The medical imaging system according to claim 15 wherein the object is a medical device in the operating region.
21. The medical imaging system according to claim 15 wherein the position of the medical device in the operating region is determined by a localization system.
22. The medical imaging system according to claim 15 wherein the position of the medical device is calculated using a mathematical model of the medical device.
23. A method of displaying medical images of an operating region in a subject, the method comprising: generating an image of the operating region using an imaging beam source and an imaging plate; and displaying the generated image; determining the location relative to the generated image of an object in the operating region based upon the position of the object in the operating region, the location of the imaging beam source, and the location of the imaging beam plate; overlaying a representation of the object on the and the on the display to position of an object in the operating region together with an overlay of at least one object in the operating region;
24. A system for navigating a medical device in a body, having a display means for displaying an image of an operating region in the body, the navigation system comprising: a means of remotely actuating the medical device for navigational purposes; a connection to an anatomical imaging system, wherein image information can be transferred to the navigation system for viewing on the display means; transfer of imaging parameters associated with the imaging system to the navigation system; a means of transformation of three dimensional geometrical information based on the imaging parameters; and a means of transferring the suitably transformed geometrical information to the imaging system for display on its live imaging monitor.
25. The system of claim 24, where the imaging parameters include positions of mechanisms of an X-ray C-arm system.
26. The system of claim 24, where the geometrical information is the real-time location and orientation of a localized medical device.
27. The system of claim 24, further comprising a graphic overlay of at least one target location that is suitably projected onto the anatomical image shown on the live imaging display.
28. The system of claim 24, further comprising a graphic overlay of at least one reference location that is suitably projected onto the anatomical image shown on the live imaging display.
29. The system of claim 23, wherein the current location and orientation of the medical device is continuously updated and graphically overlaid onto the anatomical image shown on the live imaging display.
30. The system of claim 24, further comprising a mathematical model of a predicted configuration of the medical device that is suitably projected onto the live imaging display, wherein the mathematical model provides a visual reference of a predicted location and orientation of the medical device that corresponds to a desired change in control variables.
31. The system of claim 24, further comprising a mathematical model of a predicted configuration of the medical device that is suitably projected onto the live imaging display, wherein the mathematical model provides a visual reference of a predicted location and orientation of the medical device that corresponds to a change in control variables.
32. The system of claim 29, wherein the current location and orientation of the medical device is graphically displayed together with other geometrical information in the live imaging display.
33. The system of claim 29, wherein the geometrical information transferred to and displayed on the live imaging display is obtained from a three dimensional pre¬ operative image dataset.
34. The system of claim 29, wherein the current location and orientation of the medical device is graphically displayed in the live imaging display together with data from a three dimensional intra-operative surface image rendering.
35. The system of claim 24, further comprising data input from a source of anatomical surface normal information, wherein the surface normal information is transformed to the frame of reference of the displayed live image, and is graphically overlaid onto the anatomical image shown on the live imaging display.
36. The system of claim 24, wherein the surface normal information is transformed using an orthographic projection matrix incorporating a source to image distance variable.
37. The method of claim 24, where the geometrical information comprises anatomical landmarks.
38. The method of claim 24, where the geometrical information comprises anatomical curvilinear features.
39. The method of claim 24, where the geometrical information comprises anatomical surface portions.
40. The method of claim 24, where the geometrical information comprises reconstructed vascular path data.
41. An improved system for remotely navigating a medical device in a body, having a display device for displaying an image of the medical device in the operating region, the improvement comprising: a means of remote actuation of the medical device; a means of controlling the remote actuation of the medical device from the navigation system; transfer of real-time location data to the navigation system from a localization system for determining the position of the medical device; a connection to an X-ray imaging system, wherein imaging parameters can be transferred to the navigation system from the imaging system, and geometrical information can be transferred from the navigation system to the imaging system for overlaid viewing on the live imaging display device, and a continuously updated current location and orientation of the medical device as determined by the localization system are suitably projected and graphically overlaid onto the live X-ray image
42. The system of claim 41, wherein a graphic overlay of at least one target location is suitably projected and overlaid onto the live X-ray image display.
43. The system of claim 41, wherein a graphic overlay of at least one reference location is suitably projected and overlaid onto the live X-ray image display.
44. The system of claim 41, wherein at least one user-defined device marker is projected and graphically overlaid onto the live X-ray image display.
45. The system of claim 41, further comprising a mathematical model of the configuration of the medical device that is suitably projected onto the live X-ray image display, wherein the mathematical model provides a visual reference of a predicted location and orientation of the medical device that corresponds to a desired change in control variables.
46. The system of claim 41, further comprising a mathematical model of the configuration of the medical device that is suitably projected onto the live X-ray image display, wherein the mathematical model provides a visual reference of a predicted location and orientation of the medical device that corresponds to a change in control variables.
47. The system of claim 41, wherein the current location and orientation of the medical device is graphically displayed on the live X-ray image display together with data obtained from a three dimensional pre-operative image dataset.
48. The system of claim 41, wherein the current location and orientation of the medical device is graphically displayed on the live X-ray image display together with data obtained from a three dimensional intra-operative surface image dataset.
49. The system of claim 41, further comprising data input from a source of anatomical surface normal information, wherein the surface normal information is graphically overlaid onto the live X-ray image display.
50. The system of claim 49, wherein the surface normal information is transformed using an orthographic projection matrix incorporating a source to image distance variable.
51. The method of claim 41, where the geometrical information comprises anatomical landmarks.
52. The method of claim 41, where the geometrical information comprises anatomical curvilinear features.
53. The method of claim 41, where the geometrical information comprises anatomical surface portions.
54. The method of claim 41, where the geometrical information comprises reconstructed vascular path data.
55. A system for remotely navigating a medical device in a body with a remote navigation system having a display for displaying an image of operating region, the system comprising: a means of controlling the remote actuation of the medical device from the navigation system; a connection to an X-ray imaging system, wherein X-ray imaging parameters can be transferred to the navigation system from the imaging system; a means of transforming three dimensional geometrical information for appropriate projection and overlay using the X-ray imaging parameters corresponding to the orientation of the current live X-ray image; and displaying the transformed geometrical information on the live X-ray imaging display.
56. The system of claim 55, where the geometrical information comprises anatomical landmarks.
57. The system of claim 55, where the geometrical information comprises reference positions.
58. The system of claim 55, where the geometrical information comprises target locations.
59. The system of claim 55, where the geometrical information comprises predicted device configurations.
60. The system of claim 55, where the geometrical information comprises real-time device location and orientation data.
61. The system of claim 55, where the geometrical information comprises anatomical curvilinear features.
62. The system of claim 55, where the geometrical information comprises anatomical surface portions.
63. The system of claim 55, where the geometrical information comprises identified device markers.
64. The system of claim 55, where the geometrical information comprises surface normal data.
65. The system of claim 55, where the geometrical information comprises geometrical data obtained from three dimensional image data.
66. The system of claim 55, where the geometrical information comprises reconstructed vascular path data.
67. A method for overlaying geometrical information onto an X-ray imaging display for use in remotely navigating a medical device in a body, the method comprising the steps of: connecting a navigation system to an X-ray imaging system, wherein X-ray imaging parameters can be transferred to the navigation system from the imaging system; transforming three dimensional geometrical information for appropriate projection and overlay using the X-ray imaging parameters corresponding to the orientation of the current live X-ray image; displaying the transformed geometrical information on the live X-ray imaging display; and controlling the remote actuation of the medical device from the navigation system using the geometrical information overlaid on the X-ray imaging display.
68. The method of claim 67, further comprising the step of providing predicted device configurations for use in controlling the actuation of the medical device.
69. The method of claim 67, wherein the geometrical information comprises anatomical landmarks.
70. The method of claim 67, wherein the geometrical information comprises reference positions.
71. The method of claim 67, wherein the geometrical information comprises target locations.
72. The method of claim 67, wherein the geometrical information comprises real-time device location and orientation data.
EP05803625A 2004-10-07 2005-10-07 Surgical navigation with overlay on anatomical images Withdrawn EP1863384A4 (en)

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Families Citing this family (147)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6703418B2 (en) * 1991-02-26 2004-03-09 Unimed Pharmaceuticals, Inc. Appetite stimulation and induction of weight gain in patients suffering from symptomatic HIV infection
US7066924B1 (en) * 1997-11-12 2006-06-27 Stereotaxis, Inc. Method of and apparatus for navigating medical devices in body lumens by a guide wire with a magnetic tip
US6505062B1 (en) * 1998-02-09 2003-01-07 Stereotaxis, Inc. Method for locating magnetic implant by source field
US20040030244A1 (en) * 1999-08-06 2004-02-12 Garibaldi Jeffrey M. Method and apparatus for magnetically controlling catheters in body lumens and cavities
US6902528B1 (en) * 1999-04-14 2005-06-07 Stereotaxis, Inc. Method and apparatus for magnetically controlling endoscopes in body lumens and cavities
US8442618B2 (en) * 1999-05-18 2013-05-14 Mediguide Ltd. Method and system for delivering a medical device to a selected position within a lumen
US7778688B2 (en) * 1999-05-18 2010-08-17 MediGuide, Ltd. System and method for delivering a stent to a selected position within a lumen
US9572519B2 (en) 1999-05-18 2017-02-21 Mediguide Ltd. Method and apparatus for invasive device tracking using organ timing signal generated from MPS sensors
US9833167B2 (en) * 1999-05-18 2017-12-05 Mediguide Ltd. Method and system for superimposing virtual anatomical landmarks on an image
US6702804B1 (en) * 1999-10-04 2004-03-09 Stereotaxis, Inc. Method for safely and efficiently navigating magnetic devices in the body
US6401723B1 (en) * 2000-02-16 2002-06-11 Stereotaxis, Inc. Magnetic medical devices with changeable magnetic moments and method of navigating magnetic medical devices with changeable magnetic moments
US6940379B2 (en) * 2000-04-11 2005-09-06 Stereotaxis, Inc. Magnets with varying magnetization direction and method of making such magnets
DK1389958T3 (en) * 2001-05-06 2009-01-12 Stereotaxis Inc Catheter delivery system
US7635342B2 (en) * 2001-05-06 2009-12-22 Stereotaxis, Inc. System and methods for medical device advancement and rotation
US7766856B2 (en) * 2001-05-06 2010-08-03 Stereotaxis, Inc. System and methods for advancing a catheter
US7161453B2 (en) * 2002-01-23 2007-01-09 Stereotaxis, Inc. Rotating and pivoting magnet for magnetic navigation
US7313429B2 (en) 2002-01-23 2007-12-25 Stereotaxis, Inc. Rotating and pivoting magnet for magnetic navigation
US6856006B2 (en) * 2002-03-28 2005-02-15 Siliconix Taiwan Ltd Encapsulation method and leadframe for leadless semiconductor packages
US7248914B2 (en) * 2002-06-28 2007-07-24 Stereotaxis, Inc. Method of navigating medical devices in the presence of radiopaque material
AU2003295741A1 (en) 2002-11-18 2004-06-15 Stereotaxis, Inc. Magnetically navigable balloon catheters
US7389778B2 (en) 2003-05-02 2008-06-24 Stereotaxis, Inc. Variable magnetic moment MR navigation
US6980843B2 (en) * 2003-05-21 2005-12-27 Stereotaxis, Inc. Electrophysiology catheter
WO2005029258A2 (en) * 2003-09-16 2005-03-31 Stereotaxis, Inc. User interface for remote control of medical devices
DE102004003082B4 (en) * 2004-01-21 2011-01-20 Siemens Ag catheter device
US7543239B2 (en) 2004-06-04 2009-06-02 Stereotaxis, Inc. User interface for remote control of medical devices
US20060036163A1 (en) * 2004-07-19 2006-02-16 Viswanathan Raju R Method of, and apparatus for, controlling medical navigation systems
US20060144407A1 (en) * 2004-07-20 2006-07-06 Anthony Aliberto Magnetic navigation manipulation apparatus
US20080006280A1 (en) * 2004-07-20 2008-01-10 Anthony Aliberto Magnetic navigation maneuvering sheath
US20060144408A1 (en) * 2004-07-23 2006-07-06 Ferry Steven J Micro-catheter device and method of using same
US7831294B2 (en) 2004-10-07 2010-11-09 Stereotaxis, Inc. System and method of surgical imagining with anatomical overlay for navigation of surgical devices
WO2006069257A2 (en) * 2004-12-20 2006-06-29 Stereotaxis, Inc. Contact over torque with three dimensional anatomical data
US7708696B2 (en) * 2005-01-11 2010-05-04 Stereotaxis, Inc. Navigation using sensed physiological data as feedback
US7756308B2 (en) * 2005-02-07 2010-07-13 Stereotaxis, Inc. Registration of three dimensional image data to 2D-image-derived data
US7953983B2 (en) * 2005-03-08 2011-05-31 Microsoft Corporation Image or pictographic based computer login systems and methods
US7742803B2 (en) * 2005-05-06 2010-06-22 Stereotaxis, Inc. Voice controlled user interface for remote navigation systems
US20060281990A1 (en) * 2005-05-06 2006-12-14 Viswanathan Raju R User interfaces and navigation methods for vascular navigation
US20070060992A1 (en) * 2005-06-02 2007-03-15 Carlo Pappone Methods and devices for mapping the ventricle for pacing lead placement and therapy delivery
US20070062546A1 (en) * 2005-06-02 2007-03-22 Viswanathan Raju R Electrophysiology catheter and system for gentle and firm wall contact
US20070021744A1 (en) * 2005-07-07 2007-01-25 Creighton Francis M Iv Apparatus and method for performing ablation with imaging feedback
US20070038065A1 (en) * 2005-07-07 2007-02-15 Creighton Francis M Iv Operation of a remote medical navigation system using ultrasound image
US9314222B2 (en) * 2005-07-07 2016-04-19 Stereotaxis, Inc. Operation of a remote medical navigation system using ultrasound image
US7603905B2 (en) * 2005-07-08 2009-10-20 Stereotaxis, Inc. Magnetic navigation and imaging system
US7769444B2 (en) * 2005-07-11 2010-08-03 Stereotaxis, Inc. Method of treating cardiac arrhythmias
US20070016131A1 (en) * 2005-07-12 2007-01-18 Munger Gareth T Flexible magnets for navigable medical devices
US7690619B2 (en) * 2005-07-12 2010-04-06 Stereotaxis, Inc. Apparatus for pivotally orienting a projection device
US7416335B2 (en) * 2005-07-15 2008-08-26 Sterotaxis, Inc. Magnetically shielded x-ray tube
US8192374B2 (en) * 2005-07-18 2012-06-05 Stereotaxis, Inc. Estimation of contact force by a medical device
US20070062547A1 (en) * 2005-07-21 2007-03-22 Carlo Pappone Systems for and methods of tissue ablation
US20070060829A1 (en) * 2005-07-21 2007-03-15 Carlo Pappone Method of finding the source of and treating cardiac arrhythmias
US20070043455A1 (en) * 2005-07-26 2007-02-22 Viswanathan Raju R Apparatus and methods for automated sequential movement control for operation of a remote navigation system
US20070060962A1 (en) * 2005-07-26 2007-03-15 Carlo Pappone Apparatus and methods for cardiac resynchronization therapy and cardiac contractility modulation
US7818076B2 (en) * 2005-07-26 2010-10-19 Stereotaxis, Inc. Method and apparatus for multi-system remote surgical navigation from a single control center
US20070040670A1 (en) * 2005-07-26 2007-02-22 Viswanathan Raju R System and network for remote medical procedures
US8583220B2 (en) * 2005-08-02 2013-11-12 Biosense Webster, Inc. Standardization of catheter-based treatment for atrial fibrillation
US7495537B2 (en) * 2005-08-10 2009-02-24 Stereotaxis, Inc. Method and apparatus for dynamic magnetic field control using multiple magnets
US8784336B2 (en) 2005-08-24 2014-07-22 C. R. Bard, Inc. Stylet apparatuses and methods of manufacture
US20070055124A1 (en) * 2005-09-01 2007-03-08 Viswanathan Raju R Method and system for optimizing left-heart lead placement
DE102005045602B4 (en) * 2005-09-23 2017-07-13 Siemens Healthcare Gmbh A method of supporting interventional medical intervention
US20070167720A1 (en) * 2005-12-06 2007-07-19 Viswanathan Raju R Smart card control of medical devices
US20070149946A1 (en) * 2005-12-07 2007-06-28 Viswanathan Raju R Advancer system for coaxial medical devices
US20070161882A1 (en) * 2006-01-06 2007-07-12 Carlo Pappone Electrophysiology catheter and system for gentle and firm wall contact
US20070197899A1 (en) * 2006-01-17 2007-08-23 Ritter Rogers C Apparatus and method for magnetic navigation using boost magnets
US20080015670A1 (en) * 2006-01-17 2008-01-17 Carlo Pappone Methods and devices for cardiac ablation
US20070197906A1 (en) * 2006-01-24 2007-08-23 Ritter Rogers C Magnetic field shape-adjustable medical device and method of using the same
US8219178B2 (en) 2007-02-16 2012-07-10 Catholic Healthcare West Method and system for performing invasive medical procedures using a surgical robot
US10136954B2 (en) 2012-06-21 2018-11-27 Globus Medical, Inc. Surgical tool systems and method
US10231791B2 (en) 2012-06-21 2019-03-19 Globus Medical, Inc. Infrared signal based position recognition system for use with a robot-assisted surgery
US20070250041A1 (en) * 2006-04-19 2007-10-25 Werp Peter R Extendable Interventional Medical Devices
US20070247454A1 (en) * 2006-04-19 2007-10-25 Norbert Rahn 3D visualization with synchronous X-ray image display
US20080039705A1 (en) * 2006-05-03 2008-02-14 Viswanathan Raju R Map based intuitive device control and sensing to navigate a medical device
US20080015427A1 (en) * 2006-06-30 2008-01-17 Nathan Kastelein System and network for remote medical procedures
WO2008022148A2 (en) * 2006-08-14 2008-02-21 Stereotaxis, Inc. Method and apparatus for ablative recanalization of blocked vasculature
US7961924B2 (en) 2006-08-21 2011-06-14 Stereotaxis, Inc. Method of three-dimensional device localization using single-plane imaging
US20080114335A1 (en) * 2006-08-23 2008-05-15 William Flickinger Medical Device Guide
DE102006041055B4 (en) * 2006-09-01 2015-10-15 Siemens Aktiengesellschaft Method for supporting the performance of an endoscopic medical procedure and device that can be operated using this method
US7567233B2 (en) * 2006-09-06 2009-07-28 Stereotaxis, Inc. Global input device for multiple computer-controlled medical systems
US7747960B2 (en) * 2006-09-06 2010-06-29 Stereotaxis, Inc. Control for, and method of, operating at least two medical systems
US8244824B2 (en) * 2006-09-06 2012-08-14 Stereotaxis, Inc. Coordinated control for multiple computer-controlled medical systems
US8242972B2 (en) 2006-09-06 2012-08-14 Stereotaxis, Inc. System state driven display for medical procedures
US8273081B2 (en) * 2006-09-08 2012-09-25 Stereotaxis, Inc. Impedance-based cardiac therapy planning method with a remote surgical navigation system
WO2008033829A2 (en) * 2006-09-11 2008-03-20 Stereotaxis, Inc. Automated mapping of anatomical features of heart chambers
US8135185B2 (en) * 2006-10-20 2012-03-13 Stereotaxis, Inc. Location and display of occluded portions of vessels on 3-D angiographic images
US7794407B2 (en) 2006-10-23 2010-09-14 Bard Access Systems, Inc. Method of locating the tip of a central venous catheter
US8388546B2 (en) 2006-10-23 2013-03-05 Bard Access Systems, Inc. Method of locating the tip of a central venous catheter
US20080132910A1 (en) * 2006-11-07 2008-06-05 Carlo Pappone Control for a Remote Navigation System
US20080200913A1 (en) * 2007-02-07 2008-08-21 Viswanathan Raju R Single Catheter Navigation for Diagnosis and Treatment of Arrhythmias
US10357184B2 (en) 2012-06-21 2019-07-23 Globus Medical, Inc. Surgical tool systems and method
US20080208912A1 (en) * 2007-02-26 2008-08-28 Garibaldi Jeffrey M System and method for providing contextually relevant medical information
US20080228065A1 (en) * 2007-03-13 2008-09-18 Viswanathan Raju R System and Method for Registration of Localization and Imaging Systems for Navigational Control of Medical Devices
US20080228068A1 (en) * 2007-03-13 2008-09-18 Viswanathan Raju R Automated Surgical Navigation with Electro-Anatomical and Pre-Operative Image Data
DE102007021717A1 (en) * 2007-05-09 2008-10-02 Siemens Ag Broncho-pulmonal diagnose and therapy system for treating diseases in vascular and lymphatic system, has X-ray imaging arrangement arranged for three-dimensional movement within diagnostic-and therapy areas at multi-axial support system
US20080287909A1 (en) * 2007-05-17 2008-11-20 Viswanathan Raju R Method and apparatus for intra-chamber needle injection treatment
CN101311284A (en) * 2007-05-24 2008-11-26 鸿富锦精密工业(深圳)有限公司;鸿海精密工业股份有限公司 Magnesium alloy and magnesium alloy thin sheet
US20080312673A1 (en) * 2007-06-05 2008-12-18 Viswanathan Raju R Method and apparatus for CTO crossing
US8294733B2 (en) * 2007-06-08 2012-10-23 Olympus Corporation Endoscopic image viewing program and method
US8024024B2 (en) 2007-06-27 2011-09-20 Stereotaxis, Inc. Remote control of medical devices using real time location data
US9111016B2 (en) * 2007-07-06 2015-08-18 Stereotaxis, Inc. Management of live remote medical display
US20090082660A1 (en) * 2007-09-20 2009-03-26 Norbert Rahn Clinical workflow for treatment of atrial fibrulation by ablation using 3d visualization of pulmonary vein antrum in 2d fluoroscopic images
US20090105579A1 (en) * 2007-10-19 2009-04-23 Garibaldi Jeffrey M Method and apparatus for remotely controlled navigation using diagnostically enhanced intra-operative three-dimensional image data
US8231618B2 (en) 2007-11-05 2012-07-31 Stereotaxis, Inc. Magnetically guided energy delivery apparatus
US20090131798A1 (en) * 2007-11-19 2009-05-21 Minar Christopher D Method and apparatus for intravascular imaging and occlusion crossing
US20090131927A1 (en) * 2007-11-20 2009-05-21 Nathan Kastelein Method and apparatus for remote detection of rf ablation
US10449330B2 (en) 2007-11-26 2019-10-22 C. R. Bard, Inc. Magnetic element-equipped needle assemblies
US8849382B2 (en) 2007-11-26 2014-09-30 C. R. Bard, Inc. Apparatus and display methods relating to intravascular placement of a catheter
US8781555B2 (en) 2007-11-26 2014-07-15 C. R. Bard, Inc. System for placement of a catheter including a signal-generating stylet
US8388541B2 (en) 2007-11-26 2013-03-05 C. R. Bard, Inc. Integrated system for intravascular placement of a catheter
US9521961B2 (en) 2007-11-26 2016-12-20 C. R. Bard, Inc. Systems and methods for guiding a medical instrument
US9456766B2 (en) 2007-11-26 2016-10-04 C. R. Bard, Inc. Apparatus for use with needle insertion guidance system
US9649048B2 (en) 2007-11-26 2017-05-16 C. R. Bard, Inc. Systems and methods for breaching a sterile field for intravascular placement of a catheter
ES2525525T3 (en) 2008-08-22 2014-12-26 C.R. Bard, Inc. Catheter assembly that includes ECG and magnetic sensor assemblies
US8437833B2 (en) 2008-10-07 2013-05-07 Bard Access Systems, Inc. Percutaneous magnetic gastrostomy
EP2338140B1 (en) 2008-10-13 2012-05-09 Koninklijke Philips Electronics N.V. Combined device-and-anatomy boosting
WO2011097312A1 (en) 2010-02-02 2011-08-11 C.R. Bard, Inc. Apparatus and method for catheter navigation and tip location
CN102802514B (en) 2009-06-12 2015-12-02 巴德阿克塞斯系统股份有限公司 Catheter tip positioning equipment
US9532724B2 (en) 2009-06-12 2017-01-03 Bard Access Systems, Inc. Apparatus and method for catheter navigation using endovascular energy mapping
US9445734B2 (en) 2009-06-12 2016-09-20 Bard Access Systems, Inc. Devices and methods for endovascular electrography
US8458485B2 (en) 2009-06-17 2013-06-04 Microsoft Corporation Image-based unlock functionality on a computing device
US20110052026A1 (en) * 2009-08-28 2011-03-03 Siemens Corporation Method and Apparatus for Determining Angulation of C-Arm Image Acquisition System for Aortic Valve Implantation
CN102665541B (en) 2009-09-29 2016-01-13 C·R·巴德股份有限公司 The probe used together with the equipment that the Ink vessel transfusing for conduit is placed
JP5774596B2 (en) * 2009-10-30 2015-09-09 ザ・ジョンズ・ホプキンス・ユニバーシティー visual tracking / annotation of clinically important anatomical landmarks for surgical intervention
US9883878B2 (en) 2012-05-15 2018-02-06 Pulse Therapeutics, Inc. Magnetic-based systems and methods for manipulation of magnetic particles
CN102695542B (en) 2009-11-02 2015-08-12 脉冲治疗公司 For magnetic potential stator system and the method for controlled in wireless magnet rotor
MX2012013672A (en) 2010-05-28 2013-02-12 Bard Inc C R Apparatus for use with needle insertion guidance system.
US20120046562A1 (en) 2010-08-20 2012-02-23 C. R. Bard, Inc. Reconfirmation of ecg-assisted catheter tip placement
EP2632360A4 (en) 2010-10-29 2014-05-21 Bard Inc C R Bioimpedance-assisted placement of a medical device
EP2635190B1 (en) 2010-11-05 2017-01-11 Koninklijke Philips N.V. Imaging apparatus for imaging an object
US10039502B2 (en) 2011-04-12 2018-08-07 Medtronic Ablation Frontiers Llc Electrophysiological signal processing and utilization
EP2729073A4 (en) 2011-07-06 2015-03-11 Bard Inc C R Needle length determination and calibration for insertion guidance system
US9510771B1 (en) 2011-10-28 2016-12-06 Nuvasive, Inc. Systems and methods for performing spine surgery
US8849375B2 (en) * 2011-11-01 2014-09-30 Siemens Medical Solutions Usa, Inc. System for detecting rotation angle of a catheter in an X-ray image
EP2810249B1 (en) * 2012-02-03 2018-07-25 Koninklijke Philips N.V. Imaging apparatus for imaging an object
WO2013165408A1 (en) * 2012-05-02 2013-11-07 Empire Technology Development Llc Four dimensional image registration using dynamical model for augmented reality in medical applications
WO2013192598A1 (en) 2012-06-21 2013-12-27 Excelsius Surgical, L.L.C. Surgical robot platform
US9204937B2 (en) * 2013-02-19 2015-12-08 Stryker Trauma Gmbh Software for use with deformity correction
US9283046B2 (en) 2013-03-15 2016-03-15 Hansen Medical, Inc. User interface for active drive apparatus with finite range of motion
JP5960377B1 (en) * 2013-05-31 2016-08-02 コーニンクレッカ フィリップス エヌ ヴェKoninklijke Philips N.V. Assistance device for assisting a user during an intervention procedure
US9848922B2 (en) 2013-10-09 2017-12-26 Nuvasive, Inc. Systems and methods for performing spine surgery
EP3073910A4 (en) 2014-02-06 2017-07-19 C.R. Bard, Inc. Systems and methods for guidance and placement of an intravascular device
WO2015162256A1 (en) 2014-04-24 2015-10-29 KB Medical SA Surgical instrument holder for use with a robotic surgical system
US20160213884A1 (en) * 2015-01-27 2016-07-28 Hansen Medical, Inc. Adaptive catheter control for planar user interface
CN104739411B (en) * 2015-04-01 2017-04-05 南京医科大学 A kind of use Magnetic Sensor carries out the method for detecting positioning to magnetic target
US10349890B2 (en) 2015-06-26 2019-07-16 C. R. Bard, Inc. Connector interface for ECG-based catheter positioning system
US10080615B2 (en) 2015-08-12 2018-09-25 Globus Medical, Inc. Devices and methods for temporary mounting of parts to bone
US10117632B2 (en) 2016-02-03 2018-11-06 Globus Medical, Inc. Portable medical imaging system with beam scanning collimator
US10448910B2 (en) 2016-02-03 2019-10-22 Globus Medical, Inc. Portable medical imaging system
US10251705B2 (en) 2016-06-02 2019-04-09 Stryker European Holdings I, Llc Software for use with deformity correction
US10398855B2 (en) * 2017-11-14 2019-09-03 William T. MCCLELLAN Augmented reality based injection therapy

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000047103A2 (en) * 1999-02-10 2000-08-17 Surgical Insights, Inc. Computer assisted targeting device for use in orthopaedic surgery
US20010027263A1 (en) * 2000-02-03 2001-10-04 Waldemar Zylka Method of determining the position of a medical instrument
US20020085681A1 (en) * 2000-12-28 2002-07-04 Jensen Vernon Thomas Method and apparatus for obtaining and displaying computed tomography images using a fluoroscopy imaging system
WO2002065931A1 (en) * 2001-02-22 2002-08-29 Siemens Aktiengesellschaft Device and method for controlling surgical instruments
WO2004021910A1 (en) * 2002-09-04 2004-03-18 Philips Intellectual Property & Standards Gmbh Imaging system and method for optimizing an x-ray image

Family Cites Families (87)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE69530558T2 (en) * 1994-06-30 2004-04-01 Koninklijke Philips Electronics N.V. Device for magnetic resonance examinations, including an x-ray radiation device
US5654864A (en) 1994-07-25 1997-08-05 University Of Virginia Patent Foundation Control method for magnetic stereotaxis system
US6167296A (en) * 1996-06-28 2000-12-26 The Board Of Trustees Of The Leland Stanford Junior University Method for volumetric image navigation
US6128174A (en) 1997-08-29 2000-10-03 Stereotaxis, Inc. Method and apparatus for rapidly changing a magnetic field produced by electromagnets
US7066924B1 (en) 1997-11-12 2006-06-27 Stereotaxis, Inc. Method of and apparatus for navigating medical devices in body lumens by a guide wire with a magnetic tip
US6015414A (en) 1997-08-29 2000-01-18 Stereotaxis, Inc. Method and apparatus for magnetically controlling motion direction of a mechanically pushed catheter
US6014580A (en) 1997-11-12 2000-01-11 Stereotaxis, Inc. Device and method for specifying magnetic field for surgical applications
US6212419B1 (en) 1997-11-12 2001-04-03 Walter M. Blume Method and apparatus using shaped field of repositionable magnet to guide implant
US6157853A (en) 1997-11-12 2000-12-05 Stereotaxis, Inc. Method and apparatus using shaped field of repositionable magnet to guide implant
WO1999024097A1 (en) 1997-11-12 1999-05-20 Stereotaxis, Inc. Intracranial bolt and method of placing and using an intracranial bolt to position a medical device
AU1796499A (en) 1997-11-12 1999-05-31 Stereotaxis, Inc. Articulated magnetic guidance systems and devices and methods for using same formagnetically-assisted surgery
US6505062B1 (en) 1998-02-09 2003-01-07 Stereotaxis, Inc. Method for locating magnetic implant by source field
US6081739A (en) * 1998-05-21 2000-06-27 Lemchen; Marc S. Scanning device or methodology to produce an image incorporating correlated superficial, three dimensional surface and x-ray images and measurements of an object
US6522909B1 (en) 1998-08-07 2003-02-18 Stereotaxis, Inc. Method and apparatus for magnetically controlling catheters in body lumens and cavities
US6296604B1 (en) 1999-03-17 2001-10-02 Stereotaxis, Inc. Methods of and compositions for treating vascular defects
US6375606B1 (en) 1999-03-17 2002-04-23 Stereotaxis, Inc. Methods of and apparatus for treating vascular defects
US6315709B1 (en) 1998-08-07 2001-11-13 Stereotaxis, Inc. Magnetic vascular defect treatment system
EP1119299A1 (en) 1998-10-02 2001-08-01 Stereotaxis, Inc. Magnetically navigable and/or controllable device for removing material from body lumens and cavities
US6298259B1 (en) * 1998-10-16 2001-10-02 Univ Minnesota Combined magnetic resonance imaging and magnetic stereotaxis surgical apparatus and processes
US6241671B1 (en) 1998-11-03 2001-06-05 Stereotaxis, Inc. Open field system for magnetic surgery
US6330467B1 (en) 1999-02-04 2001-12-11 Stereotaxis, Inc. Efficient magnet system for magnetically-assisted surgery
US6148823A (en) 1999-03-17 2000-11-21 Stereotaxis, Inc. Method of and system for controlling magnetic elements in the body using a gapped toroid magnet
US6470207B1 (en) 1999-03-23 2002-10-22 Surgical Navigation Technologies, Inc. Navigational guidance via computer-assisted fluoroscopic imaging
US6428551B1 (en) 1999-03-30 2002-08-06 Stereotaxis, Inc. Magnetically navigable and/or controllable device for removing material from body lumens and cavities
US6902528B1 (en) 1999-04-14 2005-06-07 Stereotaxis, Inc. Method and apparatus for magnetically controlling endoscopes in body lumens and cavities
US6292678B1 (en) 1999-05-13 2001-09-18 Stereotaxis, Inc. Method of magnetically navigating medical devices with magnetic fields and gradients, and medical devices adapted therefor
US6911026B1 (en) 1999-07-12 2005-06-28 Stereotaxis, Inc. Magnetically guided atherectomy
US6385472B1 (en) 1999-09-10 2002-05-07 Stereotaxis, Inc. Magnetically navigable telescoping catheter and method of navigating telescoping catheter
AU3885801A (en) 1999-09-20 2001-04-24 Stereotaxis, Inc. Magnetically guided myocardial treatment system
US6298257B1 (en) 1999-09-22 2001-10-02 Sterotaxis, Inc. Cardiac methods and system
US6702804B1 (en) 1999-10-04 2004-03-09 Stereotaxis, Inc. Method for safely and efficiently navigating magnetic devices in the body
US6662034B2 (en) 2000-11-15 2003-12-09 Stereotaxis, Inc. Magnetically guidable electrophysiology catheter
US6401723B1 (en) 2000-02-16 2002-06-11 Stereotaxis, Inc. Magnetic medical devices with changeable magnetic moments and method of navigating magnetic medical devices with changeable magnetic moments
US6535756B1 (en) 2000-04-07 2003-03-18 Surgical Navigation Technologies, Inc. Trajectory storage apparatus and method for surgical navigation system
AU7551101A (en) 2000-06-07 2001-12-17 Stereotaxis Inc Guide for medical devices
US6817364B2 (en) 2000-07-24 2004-11-16 Stereotaxis, Inc. Magnetically navigated pacing leads, and methods for delivering medical devices
US6524303B1 (en) 2000-09-08 2003-02-25 Stereotaxis, Inc. Variable stiffness magnetic catheter
US6537196B1 (en) 2000-10-24 2003-03-25 Stereotaxis, Inc. Magnet assembly with variable field directions and methods of magnetically navigating medical objects
US6677752B1 (en) 2000-11-20 2004-01-13 Stereotaxis, Inc. Close-in shielding system for magnetic medical treatment instruments
US7103205B2 (en) 2000-11-24 2006-09-05 U-Systems, Inc. Breast cancer screening with ultrasound image overlays
TW559717B (en) * 2000-12-29 2003-11-01 Foursis Business Promotion Kk Data storage medium for charging of network data and recording usage program, and loading device loading with the program
US6352363B1 (en) 2001-01-16 2002-03-05 Stereotaxis, Inc. Shielded x-ray source, method of shielding an x-ray source, and magnetic surgical system with shielded x-ray source
US20020103430A1 (en) 2001-01-29 2002-08-01 Hastings Roger N. Catheter navigation within an MR imaging device
WO2002076302A2 (en) 2001-03-26 2002-10-03 Lb Medical Gmbh Method and device system for removing material or for working material
US7635342B2 (en) 2001-05-06 2009-12-22 Stereotaxis, Inc. System and methods for medical device advancement and rotation
DK1389958T3 (en) 2001-05-06 2009-01-12 Stereotaxis Inc Catheter delivery system
US6554864B2 (en) * 2001-07-16 2003-04-29 Spinecore, Inc Surgical method of treating scoliosis
US7020512B2 (en) 2002-01-14 2006-03-28 Stereotaxis, Inc. Method of localizing medical devices
US7313429B2 (en) 2002-01-23 2007-12-25 Stereotaxis, Inc. Rotating and pivoting magnet for magnetic navigation
US6975197B2 (en) 2002-01-23 2005-12-13 Stereotaxis, Inc. Rotating and pivoting magnet for magnetic navigation
US7019610B2 (en) 2002-01-23 2006-03-28 Stereotaxis, Inc. Magnetic navigation system
US20040005301A1 (en) * 2002-02-12 2004-01-08 Goldman Steven A. Identification and high-yield isolation of human pancreatic islet progenitor and stem cells
US6968846B2 (en) 2002-03-07 2005-11-29 Stereotaxis, Inc. Method and apparatus for refinably accurate localization of devices and instruments in scattering environments
US8721655B2 (en) 2002-04-10 2014-05-13 Stereotaxis, Inc. Efficient closed loop feedback navigation
US7008418B2 (en) 2002-05-09 2006-03-07 Stereotaxis, Inc. Magnetically assisted pulmonary vein isolation
US7189198B2 (en) 2002-07-03 2007-03-13 Stereotaxis, Inc. Magnetically guidable carriers and methods for the targeted magnetic delivery of substances in the body
US7769427B2 (en) 2002-07-16 2010-08-03 Magnetics, Inc. Apparatus and method for catheter guidance control and imaging
US20050065435A1 (en) 2003-07-22 2005-03-24 John Rauch User interface for remote control of medical devices
US20040157082A1 (en) 2002-07-22 2004-08-12 Ritter Rogers C. Coated magnetically responsive particles, and embolic materials using coated magnetically responsive particles
US7630752B2 (en) 2002-08-06 2009-12-08 Stereotaxis, Inc. Remote control of medical devices using a virtual device interface
WO2004029782A2 (en) 2002-09-30 2004-04-08 Stereotaxis, Inc. A method and apparatus for improved surgical navigation employing electronic indentification with automatically actuated flexible medical devices
JP2006506039A (en) 2002-11-07 2006-02-16 ステリオタクシス インコーポレイテツドStereotaxis, Inc. Manufacturing method of composite magnet
US20040133130A1 (en) 2003-01-06 2004-07-08 Ferry Steven J. Magnetically navigable medical guidewire
US7774046B2 (en) 2003-03-13 2010-08-10 Stereotaxis, Inc. Magnetic navigation system
US7305263B2 (en) 2003-03-13 2007-12-04 Stereotaxis, Inc. Magnetic navigation system and magnet system therefor
US8162920B2 (en) 2003-04-24 2012-04-24 Stereotaxis, Inc. Magnetic navigation of medical devices in magnetic fields
US7389778B2 (en) 2003-05-02 2008-06-24 Stereotaxis, Inc. Variable magnetic moment MR navigation
US6980843B2 (en) 2003-05-21 2005-12-27 Stereotaxis, Inc. Electrophysiology catheter
US7103399B2 (en) * 2003-09-08 2006-09-05 Vanderbilt University Apparatus and methods of cortical surface registration and deformation tracking for patient-to-image alignment in relation to image-guided surgery
US20050119687A1 (en) 2003-09-08 2005-06-02 Dacey Ralph G.Jr. Methods of, and materials for, treating vascular defects with magnetically controllable hydrogels
WO2005029258A2 (en) 2003-09-16 2005-03-31 Stereotaxis, Inc. User interface for remote control of medical devices
US7280863B2 (en) 2003-10-20 2007-10-09 Magnetecs, Inc. System and method for radar-assisted catheter guidance and control
US20050182315A1 (en) 2003-11-07 2005-08-18 Ritter Rogers C. Magnetic resonance imaging and magnetic navigation systems and methods
US20050256398A1 (en) 2004-05-12 2005-11-17 Hastings Roger N Systems and methods for interventional medicine
US7543239B2 (en) 2004-06-04 2009-06-02 Stereotaxis, Inc. User interface for remote control of medical devices
EP1778337A4 (en) 2004-06-29 2008-04-02 Stereotaxis Inc Navigation of remotely actuable medical device using control variable and length
JP4430997B2 (en) * 2004-07-13 2010-03-10 富士フイルム株式会社 Ultrasonic transceiver
US20060036163A1 (en) 2004-07-19 2006-02-16 Viswanathan Raju R Method of, and apparatus for, controlling medical navigation systems
US20060144407A1 (en) 2004-07-20 2006-07-06 Anthony Aliberto Magnetic navigation manipulation apparatus
US20060144408A1 (en) 2004-07-23 2006-07-06 Ferry Steven J Micro-catheter device and method of using same
US7627361B2 (en) 2004-08-24 2009-12-01 Stereotaxis, Inc. Methods and apparatus for steering medical device in body lumens
US7555331B2 (en) 2004-08-26 2009-06-30 Stereotaxis, Inc. Method for surgical navigation utilizing scale-invariant registration between a navigation system and a localization system
US7815580B2 (en) 2004-09-07 2010-10-19 Stereotaxis, Inc. Magnetic guidewire for lesion crossing
US7831294B2 (en) 2004-10-07 2010-11-09 Stereotaxis, Inc. System and method of surgical imagining with anatomical overlay for navigation of surgical devices
US7983733B2 (en) 2004-10-26 2011-07-19 Stereotaxis, Inc. Surgical navigation using a three-dimensional user interface
US7190819B2 (en) 2004-10-29 2007-03-13 Stereotaxis, Inc. Image-based medical device localization
US20060094956A1 (en) 2004-10-29 2006-05-04 Viswanathan Raju R Restricted navigation controller for, and methods of controlling, a remote navigation system

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000047103A2 (en) * 1999-02-10 2000-08-17 Surgical Insights, Inc. Computer assisted targeting device for use in orthopaedic surgery
US20010027263A1 (en) * 2000-02-03 2001-10-04 Waldemar Zylka Method of determining the position of a medical instrument
US20020085681A1 (en) * 2000-12-28 2002-07-04 Jensen Vernon Thomas Method and apparatus for obtaining and displaying computed tomography images using a fluoroscopy imaging system
WO2002065931A1 (en) * 2001-02-22 2002-08-29 Siemens Aktiengesellschaft Device and method for controlling surgical instruments
WO2004021910A1 (en) * 2002-09-04 2004-03-18 Philips Intellectual Property & Standards Gmbh Imaging system and method for optimizing an x-ray image

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of WO2006042198A2 *

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Ipc: A61B 19/00 20060101ALI20120523BHEP

Ipc: A61B 6/12 20060101AFI20120523BHEP

Ipc: A61B 5/06 20060101ALI20120523BHEP

18D Deemed to be withdrawn

Effective date: 20121204